scholarly journals Effects of seasonal and climate variations on in-hospital mortality and length of stay in patients with type A aortic dissection

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Zeng-Rong Luo ◽  
Zhi-Qin Lin ◽  
Liang-wan Chen ◽  
Han-Fan Qiu
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Length Of Stay ◽  
Aortic Dissection ◽  
Hospital Mortality ◽  
Type A ◽  
Descending Aorta ◽  
Type A Aortic Dissection ◽  
Medical Quality ◽  
Increased Risk

Abstract Objective To investigate the effects of seasonal and climatic changes on postoperative in-hospital mortality and length of stay (LOS) in patients with type A acute aortic dissection (AAD). Methods Patients undergoing implantation of the modified triple-branched stent graft to replace the descending aorta in addition to aortic root reconstruction for type A AAD in our hospital from January 2016 to December 2019 were included. Relevant data were retrospectively collected and analyzed. Results A total of 404 patients were included in our analyses. The multivariate unconditional logistic regression analysis showed that patients admitted in autumn (OR 4.027, 95% CI 1.023–17.301, P = 0.039) or with coronary heart disease (OR 8.938, 95% CI 1.991–29.560, P = 0.049) were independently associated with an increased risk of postoperative in-hospital mortality. Furthermore, patients admitted in autumn (OR 5.956, 95% CI 2.719–7.921, P = 0.041) or with hypertension (OR 3.486, 95% CI 1.192–5.106, P = 0.035) were independently associated with an increased risk of longer LOS. Conclusion Patients admitted in autumn or with coronary heart disease are at higher risk of in-hospital mortality following surgery for type A AAD. Also, patients admitted in autumn or with hypertension have a longer hospital LOS. In the autumn of the temperature transition, we may need to strengthen the management of medical quality after surgery for type A AAD.

scholarly journals Effect of Season and Climate on in-hospital Mortality and Length of Stay for Patients With Type A Aortic Dissection

2021 ◽  
Author(s):  
Zeng-Rong Luo ◽  
Zhi-Qin Lin ◽  
Liang-wan Chen ◽  
Han-Fan Qiu
Keyword(s):  
Risk Factors ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Length Of Stay ◽  
Aortic Dissection ◽  
Hospital Mortality ◽  
Meteorological Data ◽  
Type A ◽  
Type A Aortic Dissection ◽  
Increased Risk

Abstract Objective: To investigated the effects of seasonal and climatic changes on in-hospital mortality and length of stay (LOS) for postoperative patients with type A acute aortic dissection (AAD). Methods: The clinical data of 404 patients diagnosed with type A AAD in our hospital and the relevant meteorological data were retrospectively collected and analyzed from January 2016 to December 2019. Results: The multivariate unconditional logistic regression analysis showed that admission in autumn (OR=4.027, 95% CI=1.023-17.301) and coronary heart disease (odds ratio OR=7.669, 95% CI=1.20-48.689) were increased risk factors for postoperative in-hospital mortality in patients with type A AAD; admission in autumn (95% CI=2.719-7.921, P=0.041) and hypertension (95% CI=1.192-5.106, P=0.035) for type A AAD patients were increased risk factors for LOS. Conclusion: Patients with admission in autumn or coronary heart disease appeared to increasing effects on postoperative in-hospital mortality for type A AAD. Patients with admission in autumn or hypertension seemed to be associated with longer LOS.

scholarly journals Staged repair of chronic type A aortic dissection with small true lumen at the descending aorta

2020 ◽  
Vol 12 (8) ◽  
pp. 4126-4131
Author(s):  
Yangfeng Tang ◽  
Lin Han ◽  
Xinli Fan ◽  
Boyao Zhang ◽  
Jiajun Zhang ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Type A ◽  
True Lumen ◽  
Chronic Type ◽  
Descending Aorta ◽  
Type A Aortic Dissection

ASSA13-18-4 In-Hospital Mortality and Two-Year Survival After Therapy With Type A Aortic Dissection

Heart ◽  
2013 ◽  
Vol 99 (Suppl 1) ◽  
pp. A82-A82
Author(s):  
Yuan Yuan Qinghua ◽  
Ma Ma Xiang ◽  
Ma Ma Yitong
Keyword(s):  
Aortic Dissection ◽  
Hospital Mortality ◽  
Type A ◽  
Type A Aortic Dissection

scholarly journals Peri-operative risk factors for in-hospital mortality in acute type A aortic dissection

2019 ◽  
Vol 11 (9) ◽  
pp. 3887-3895
Author(s):  
Miaoyun Wen ◽  
Yongli Han ◽  
Jingkun Ye ◽  
Gengxin Cai ◽  
Wenxin Zeng ◽  
...  
Keyword(s):  
Risk Factors ◽  
Aortic Dissection ◽  
Hospital Mortality ◽  
Type A ◽  
Operative Risk ◽  
Acute Type ◽  
Type A Aortic Dissection

scholarly journals Acute type A aortic dissection in non-agenarians: to cut or not

2020 ◽  
Vol 31 (1) ◽  
pp. 102-107
Author(s):  
Shigeru Hattori ◽  
Kenichiro Noguchi ◽  
Yusuke Gunji ◽  
Motoki Nagatsuka ◽  
Ikuo Katayama
Keyword(s):  
Aortic Dissection ◽  
Hospital Mortality ◽  
Comprehensive Evaluation ◽  
Case Reports ◽  
Type A ◽  
Rank Test ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
Conservative Group ◽  
Surgical Group

Abstract OBJECTIVES Surgery for acute type A aortic dissection (type AAD) in non-agenarians is usually contraindicated due to advanced age. The aim of this study was to assess and compare outcomes after surgical or conservative treatment for acute type AAD in non-agenarians by evaluating frailty. METHODS Between October 2012 and September 2018, 273 patients underwent open repair for type AAD at the Shonan Kamakura General Hospital and the Shonan Fujisawa Tokushukai Hospital, and here, we retrospectively reviewed the case reports of 10 surgically treated non-agenarians and 15 conservatively treated non-agenarians. Exclusion criteria for surgery were the patient’s refusal of surgery, severe dementia and coma. In patients considered to be at a high risk, our judgements were based on the results of comprehensive evaluation. RESULTS Both in-hospital mortality and 30-day mortality in the surgical group were zero, while in-hospital mortality in conservatively treated non-agenarians was 73.3%. Importantly, 1-year survival in the surgical group and conservative group was 90% and 25%, respectively. The 5-year survival in the surgical group and conservative group was 49.2% and 25%, respectively (log-rank test, P = 0.0105). Four of 6 patients with preoperative clinical frailty scores not higher than 4 were still alive at 1 year with the same level of preoperative frailty. CONCLUSIONS Surgery for acute type AAD in non-agenarians can be performed with acceptable outcomes in carefully selected patients, particularly in those with preoperative clinical frailty scores not higher than 4.

Neutrophil–lymphocyte ratio may predict in-hospital mortality in patients with acute type A aortic dissection

Herz ◽  
2014 ◽  
Vol 40 (4) ◽  
pp. 716-721 ◽  
Author(s):  
S. Karakoyun ◽  
M.O. Gürsoy ◽  
T. Akgün ◽  
L. Öcal ◽  
M. Kalçık ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Hospital Mortality ◽  
Type A ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
Neutrophil Lymphocyte Ratio ◽  
Lymphocyte Ratio

scholarly journals Acute Type A Aortic Dissection in a 36-Week Pregnant Patient

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Erol Kohli ◽  
Sharhabeel Jwayyed ◽  
Gary Giorgio ◽  
Mary Colleen Bhalla
Keyword(s):  
Aortic Dissection ◽  
Early Recognition ◽  
Type A ◽  
Pregnant Patient ◽  
Acute Type ◽  
Third Trimester ◽  
Type A Aortic Dissection ◽  
Increased Risk ◽  
History Of ◽  
Aortic Dissections

Aortic dissection is a relatively rare yet often fatal condition. Early recognition and treatment are crucial for survival. While the majority of patients who present with aortic dissection are older than 50 years of age and have a history of hypertension, younger patients with connective tissue disease, bicuspid aortic valves, and a family history of aortic dissection are also at an increased risk for developing this condition. A review of the literature revealed a paucity of published cases describing the successful, emergent repair of acute type A aortic dissections in third- trimester gravid patients. We present the case of the successful diagnosis and surgical repair of a 41-year-old female who presented to the emergency department with an acute type A aortic dissection at 36 weeks of gestation.

Sign in / Sign up

Export Citation Format

Share Document